Provider Demographics
NPI:1851529176
Name:CANDELAS, EVA LIGIA (PHD)
Entity Type:Individual
Prefix:MRS
First Name:EVA
Middle Name:LIGIA
Last Name:CANDELAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:EVA
Other - Middle Name:LIGIA
Other - Last Name:CANDELAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR PSICOLOGY
Mailing Address - Street 1:MAR DE ISLA VERDE
Mailing Address - Street 2:APT. 6A
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-642-6066
Mailing Address - Fax:
Practice Address - Street 1:MAR DE ISLA VERDE
Practice Address - Street 2:APT. 6A
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-642-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health